Disease Pattern Outcome And Associated Factors Of Patient Admitted In Pediatric Intensive Care Unit At Tikur Anbessa Specialized Teaching Hospital Addis Abebaethiopia2019.

Background: Advances in pediatrics especially in the field of intensive care have dramaticallyrnimproved the prognosis for the critically ill children. Numerous conditions that were previouslyrnfatal are now treatable, and many children who previously would have sustained a permanentrndisability now recover completely. The current evidence suggests that the sickest subgroups ofrncritically ill children are less likely to die if treated in the PICU in a tertiary care hospital. rnObjectives: To assess the disease pattern, outcome and associated factor of admitted patients atrnPICU Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia from January 2017 To Januaryrn2019. rnMethods: Institutional based cross-sectional study was conducted. All patients who werernadmitted at pediatrics ICU from January 2017 to January 2019 and met the criteria werernincluded. Data was collected using adapted questionnaire from chart review and registrationrnbook. SPSS version 20 software was used for data entry and analysis. The ethical clearance wasrnobtained from AAU College of health sciences department of emergency medicine. rnResult: Most of the study subjects were in the age range of less than 1 year 97(30.6%).50.5%rnwas female. The mean age was 4.5 ± 3 years. A majority 124(39.1%) were admitted from EOPD.rnThe mean PICU length of stay was 7.18 ± 9.12 days. The majority of patients admitted to PICUrn71(22.4%) were due to respiratory problem and gastrointestinal disease is least admissionrndiagnosis 10 (3.2%). the mortality rate is, 125(39.3%) and main cause of death is cardiovascularrndisease (25.6%)rnrnConclusion & Recommendation: Respiratory and Neurology diseases were the predominantrnconditions leading to PICU admissions in our setting. 56.8% of patients used mechanicalrnventilator. Mortality rate was significantly associated with cardiovascular disease compered tornother system classification and patient who use mechanical ventilator.This can be due to limitedrninfrastructure, few trained professional and resource, make it difficult to provide optimum care.rnTikur Anbessa Teaching Specialized Hospital should work more on PICU providing a highqualityrnintensiverncarernto criticallyrnillrnpatientsrnfocusingrnon increasernPICUrncapacity.

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